摘要
目的 探讨新的治疗喉部疾病的微创外科技术———喉内镜手术的临床应用价值。方法 使用从德国STORZ公司新引进的国内首套喉内镜手术系统 ,治疗包括声带小结、声带息肉、喉乳头状瘤、声带囊肿、会厌囊肿、喉部炎性假瘤、喉部血管瘤等 5 5例病人 ,并随访 2～ 14个月。结果 5 5例病人 ,发音恢复正常者 5 1例 ,发音功能明显好转者 4例。术后 1个月动态喉镜检查见所有病人声带粘膜光滑 ,声带活动及闭合良好 ,粘膜波正常。结论 喉内镜手术视野广、直接、清晰、照明度高 ,使手术在微创的前提下彻底清除病灶并最大限度地保留功能 ,特别是可以避免对喉部良性肿瘤、癌前病变、声带微小癌及喉狭窄等多种喉部疾病采用喉裂开术 ,有很好的临床推广使用价值。
ObjectiveTo determine the clinical application of laryngeal endoscopic surgery in the treatment of laryngeal diseases. MethodsFifty-five patients suffering from various laryngeal diseases including vocal polyp, vocal nodulus, vocal papilloma, vocal cyst, epiglottic cyst, laryngeal inflammatory pseudo-tumor, and laryngeal angioma were treated surgically with the laryngeal endoscope from STORZ company, and were followed up for 2 to 14 months. ResultsOf the 55 patients, phonation function returned to normal in 51 cases, and improved significantly in the other 4. Stroboscopic examination 1 month after the operation showed smooth vocal mucosa, normal mucosal wave, and satisfactory vocal cord movement and closure in all patients. ConclusionWith the wide, direct and distinct operation field of vision and good illuminance, laryngeal endoscopic surgery can remove the lesions precisely and thoroughly with minimal invasion. It can avoid the performance of laryngofission in patients suffering from laryngeal benign tumors, precarcinomatous lesions, laryngeal microinvasive carcinoma, and some other laryngeal diseases. This operation may have high practical value in clinical practice.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2002年第4期233-236,T001,共5页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
临床应用
喉疾病
喉镜术
微创外科
Laryngeal disease/ surg
Endoscope
Minimally invasive surgery
